Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,511.89 / $4,570.88	Facility		$117.49	$2,511.89	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,388.44 / $3,981.07	Facility		$169.82	$3,388.44	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,238.72 / $4,570.88	Facility		$114.82	$2,238.72	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55